scholarly journals Abuse among elderly living in old age homes of Pokhara Lekhnath Metropolitan City

2019 ◽  
Author(s):  
Mira Adhikari Baral ◽  
KC Bhagwati ◽  
Pramila Bhandari
Keyword(s):  
Old Age ◽  
Elder Abuse ◽  
Sampling Technique ◽  
The Elderly ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
The Status ◽  
Old Age Homes

AbstractElder abuse is a common social problem in developed and developing countries and it imposes a huge impact in the physical and mental health of the elderly. With the changes in the socioeconomic aspect of Nepalese society, many elderly are relocating from their homes to old age homes. This study was conducted to assess the status of abuse among the elderly before they enter to old aged homes.A cross sectional study was conducted to assess the status of abuse among elderly before they enter to the old age homes. Consecutive sampling technique was used and semi structured interview schedule was used to collect the data from 109 elderly residing in 6 old aged homes in Pokhara. Collected data was analyzed descriptive and inferential (chi square) statistics using SPSS version 16.The findings from the study showed that that 97.2% of the elderly experienced some forms of abuse before they were brought to the old Age home. Majority of them reported that they experienced neglect (83.5%) followed by verbal abuse (34.9) while least of them (5.5%) reported that they suffered physical abuse(2.8%) and financial abuse(2.8%). However, no significant association could be seen between abuse of elderly with age, education, marital status, place of residence, having children and adequacy of income. It is recommended that the nation develop and implement necessary plans to strengthen the social security of the people at their old age.

scholarly journals Abuse Experienced by Elderly Residing in a Community of Pokhara, Nepal

2020 ◽  
Vol 2 (2) ◽  
pp. 128-134
Author(s):  
Pramila Bhandari ◽  
Mira Baral
Keyword(s):  
Older Adults ◽  
Elder Abuse ◽  
Sampling Technique ◽  
The Elderly ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
And Migration

Background: Abuse of the elderly is a hidden problem in Nepalese community. Pokhara city is highly affected by urbanization, modernization and migration that predispose older adults to social isolation and financial difficulties increasing their risk to abuse. This study aims to fill the gap in the knowledge in the area of abuse of elderly in Pokhara city.Objectives: The major objective of this study was to determine the prevalence of caregiver abuse experienced by the older adults and find out the factors associated with the abuse. Method: A cross sectional study was used for the study. Convenience sampling technique was used and data was collected from 192 elderly above the age of 60 years residing a community of Pokhara-28, Kaski at their households using a structured interview schedule. Data was collected in June 2018, for a period of one month. Before data collection, informed written consent was taken from participants. The data was analyzed by using SPSS-16 and chi-square test was used as inferential statistics to determine the association between the elder abuse and selected variables.Result: We found out that 65.6% of the elderly experienced at least one abuse in the last 6 months. The most common forms of abuse were caregiver neglect (55.2%) and psychological abuse (38.5%). The elderly abuse was statistically significant with female sex (p=0.001), unmarried/widow/widower/separated/divorced (p=.021), illiterate (p=0.002), and among those having chronic illness (p=0.003). Conclusion: Almost 7 out of 10 elderly experienced abuse in the past 6 months. The most common form of abuse was caregiver neglect followed by psychological and financial abuse. Older adults who were females, unmarried/widowed/separated/divorced, illiterate and those having chronic disease were at higher risk for abuse.

scholarly journals OLD AGE HOMES: ARE THEY ACCEPTABLE TO PAKISTANI GERIATRIC POPULATION? RESULTS OF A SURVEY OF ELDERLY OUTPATIENTS VISITING TEACHING HOSPITALS IN KARACHI, PAKISTAN

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Term Care ◽  
Old Age Homes

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.

Assessment of Health Problems and Social Needs of Elderly in old age Homes of Biratnagar Metropolitan

2020 ◽  
Vol 10 (1) ◽  
pp. 169-184
Author(s):  
Menuka Bhandari ◽  
Alweena Niroula ◽  
Shamila Chaudhary
Keyword(s):  
Old Age ◽  
Sampling Method ◽  
Total Population ◽  
Sampling Technique ◽  
The Elderly ◽  
Structured Interview ◽  
Social Needs ◽  
Spiritual Needs ◽  
Cross Sectional ◽  
The Government

Nepal is also witnessing the expansion of life span and hence an enhancement in the population of the elderly. In Nepal, individuals over 60 years of age are considered elderly. According to the 2011 census of Nepal, there were 2.1 million elderly inhabitants, which constitute 8.1percent of the total population in the country. Pashupati Bridrashram the only one shelter for elderly people run by the government which was established in 1976 as the first residential facility for elders. This study was conducted to assess the health and social needs of elderlyresiding at Birateshwor Briddhashram and Mahila Jagriti Briddhashram Biratnagar. Descriptive cross sectional research design has been used to describe characteristics of apopulation. There are four registered old age home in Biratnagar Metropolitan City, amongthem only two were selected purposively. Non random sampling technique has been used in which Purposive Sampling method has been adopted. Both health and social needs we reassessed using semi-structured interview schedule which consisted of multiple response questionnaire. There were fifty-seven elders, only forty were selected purposively who can give their information, twenty-four females and sixteen males were selected for interview. Most of the elders came to old age home because of lack of own shelter, sixty percent elders have no any children; mostly they were widow or widower. Majority of them had vision (60 %), walking (46%), hearing problems (33 %) and minority (10 %) have inability problems in moving extremities, difficulty in talking. Only a few elders came there because of maltreatment by their family members. The study has suggested for establishment of health post or healthcare center, provision of ambulance to meet their health needs and importance of care taker to make their life easier, provision of television, kitchen garden, temple to meet their social and spiritual needs.

scholarly journals Abuse of older adults before moving to old age homes in Pokhara Lekhnath Metropolitan City, Nepal: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250639
Author(s):  
Mira Adhikari Baral ◽  
Bhagwati Khatri Chhetri ◽  
Pramila Bhandari
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Verbal Abuse ◽  
Older Individuals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Metropolitan City ◽  
Old Age Homes

Introduction The number of older individuals relocating from their homes to old age homes is increasing in Nepal. This study was conducted to assess the reasons why older people chose to move to old age homes, the status and forms of abuse they experienced, and the risk factors associated with their abuse before moving to old age homes. Materials and methods This study was a cross sectional study conducted among older adults currently residing in all the old age homes of Pokhara Lekhnath Metropolitan City. Complete enumeration of the respondents was done and data was collected consecutively, using a semi-structured interview schedule, from all older adults aged 60 years and above who had been living in the homes for at least a month. The total sample size was 109. The collected data was analyzed using descriptive statistics and binary logistic regression was used as an inferential statistics to determine the predictors of abuse. Results A majority of the respondents (56.0%) came to old age homes on their own volition, 24.7% reported that they came to the homes because they were physically weak and they had no one to care for them at their residence, while 11% reported that they were forcefully sent by their caregivers. Out of total respondents, 60.6% reported that they experienced some form of abuse before they came to the old age home: most frequent was caregiver neglect (34.9%) and verbal abuse (34.9%), while few experienced financial abuse (2.8%). Women were at a higher risk of abuse than men (p<0.05, OR = 4.430, CI = 1.695–11.577) prior to their transfer to old age homes. Conclusions A majority of the older adults who transferred to old age homes in Pokhara Lekhnath Metropolitan city had been earlier abused by their caregivers, mainly through neglect and verbal abuse, and women were at a higher risk for abuse than men.

scholarly journals Assessment of facilities and reasons for settlement in old age homes of Himachal Pradesh, India

2020 ◽  
Vol 7 (7) ◽  
pp. 2588
Author(s):  
Sanjay Kumar ◽  
Anmol Gupta ◽  
Salig Ram Mazta ◽  
Deepak Sharma ◽  
Ankit Chaudhary ◽  
...  
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Himachal Pradesh ◽  
Satisfaction Level ◽  
Ethical Considerations ◽  
Cross Sectional ◽  
Medical Facilities ◽  
Old Age Homes

Background: Ageing though a physiological phenomenon has massive implications on health status of an individual. Once a nation of joint families, India has also seen increase in nuclearization of families. This in-turn has led to increase in old age homes (OAHs) in our country and also increased number of admissions in such institutions. The present study evaluated such facilities in state of Himachal Pradesh and the reasons for the settlement among the occupants.Methods: A descriptive cross sectional study was conducted to capture socio-demographic variables, reasons for settlement, facilities available in such institutions, medical facilities provided and overall satisfaction level among the occupants of all seven OAHs of the state. After taking ethical considerations into account, data was collected and analyzed using appropriate statistical techniques.Results: A total of 145 inmates were included in the study. About 86.2% inmates belonged to rural area and about three fourth of the elderly were illiterate. About 53.8% of the inmates had no children with about 45.5% of participants having lost their spouse. About 19.3% individuals had no source of income. Most common cause for settlement in OAHs was the non-availability of a care giver. About 85% of inmates had satisfaction level of average and above.Conclusions: Considering the increase in elderly population in the country there is a need for increase in number of facilities for elderly too. Moreover there is a need for standardizing such institutions in term of infrastructure, staff and facilities, with more emphasis on medical aspect. 

scholarly journals Linkage of Depression with Elder Abuse among Institutionalized Older Persons in Kathmandu Valley, Nepal

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Maginsh Dahal ◽  
Smriti Dhakal ◽  
Sudip Khanal ◽  
Kushalata Baral ◽  
Saroj Mahaseth
Keyword(s):  
Old Age ◽  
Elder Abuse ◽  
Depression Scale ◽  
The Elderly ◽  
Kathmandu Valley ◽  
Geriatric Depression ◽  
Cross Sectional ◽  
Increased Risk ◽  
Elderly Abuse ◽  
Old Age Homes

Background. To identify the association between elderly abuse and depression among elderly living in old age homes of Kathmandu Valley, Nepal. Materials and Methods. A cross-sectional study was carried out in 5 old age homes of Kathmandu Valley, Nepal. The Geriatric Mistreatment Scale and the Geriatric Depression Scale were used to collect information from 220 elderly aged 65 or above, and face-to-face interviews were conducted. Bivariate and multivariate logistic regression analyses were carried out to identify the association between elderly abuse and geriatric depression. Results. Among the different types of abuse analyzed, the multivariate analysis showed that neglect ( AOR = 2.995 ; CI: 1.249-7.181) and economical abuse ( AOR = 4.728 , CI: 1.836-12.173) were significantly associated with increased risk of geriatric depression. Furthermore, the study identified that future saving and absence of chronic disease significantly reduced the risk of psychological abuse, neglect, and geriatric depression. Conclusions. Neglect and economical abuse are a predictor of geriatric depression. Efforts should be directed to increase awareness about the different forms of abuse among the primary caregivers of the elderly. Counseling services and support programs should be introduced in old age homes to address the high burden of geriatric depression.

scholarly journals Gynaecological Problems among Elderly Women Living in Old Age Homes of Kathmandu Valley

2021 ◽  
Vol 19 (2) ◽  
pp. 97-102
Author(s):  
Marina Vaidya Shrestha ◽  
Sunil Kumar Joshi
Keyword(s):  
Old Age ◽  
Pap Smear ◽  
Elderly Women ◽  
Uterine Prolapse ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Kathmandu Valley ◽  
Cross Sectional ◽  
Negative Results ◽  
Old Age Homes

Ageing is a natural process. The elderly population is increasing in Nepal.When there is presence of diseases, physical inability, and financial harshness, the elderly in Nepal have to face many problems. This study was thus conducted to assess the socio-economic milieu and spectrum of gynaecological problems among women living in old age homes of Kathmandu valley. For this a cross sectional study was conducted in 21old age homes of three districts of Kathmandu valley. In this study, they were 234 particants. Privacy and confidentiality of information about the individual were strictly maintained. One-third of the aged women living in the old age homes belonged to 70-80 years.50.9% were from outside Kathmandu valley, while 49.1% were from the valley. The elderly were mostly not visited by their relatives and friends. Most of them (74.4%) were interested in praying than other activities. Out of the total Urine samples (190), 68.4% were normal, and 9.4% had a urinary tract infection. There were only 15.6% uterine prolapse cases. Out of total, 70.9% of Pap smear report was normal, while 25.1% had inflammatory smear. This study revealed that the old age homes have become a shelter for most of elderly women. The socio-economic condition was poor. Gynaecological probems like UTI, Urinary incontinence were not high but the prolapse cases (uterine proplase, cystocele, rectocele) were remarkably high. Cervical cancer screening through Pap smear showed negative results.

scholarly journals Quality of life among elderly living in old age homes and in family of Kancheepuram district, Tamil Nadu, India

2020 ◽  
Vol 7 (3) ◽  
pp. 1123
Author(s):  
Sahaya Sona Thresa ◽  
Indumathi S.
Keyword(s):  
Quality Of Life ◽  
Old Age ◽  
Tamil Nadu ◽  
The Elderly ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Ageing Society ◽  
Elderly Living ◽  
Old Age Homes

Background: Quality of life in elderly is more relevant towards an ageing society. In India, the awareness is very little about the special needs of the elderly and their care takers (physical and mental health, psychological and social support).  Furthermore, among elderly there is a variation between those living in old age homes (OAHs) and those living in general population. Hence the present study was undertaken to assess and compare the quality of life of elderly living in OAHs and community.Methods: A cross-sectional descriptive study was conducted among elderly in old age homes and family set up of Kanchipuram district, Tamil Nadu. QOL of elderly was assessed using WHO QOL - brief questionnaire after taking informed consent from the participants. Data was analyzed using SPSS 23.Results: A total of 106 elders from each group old age home and family setup were the study participants. Quality of life was good 72.5% in family and in OAHs it was only 56.2%. The main reason for residing in OAHs was no family, lack of care takers. All the four domains were found to be highly statistically significant.Conclusions: From this study we are able to find out that quality of life in family setup is better than OAHs, psychologically many people were depressed as they live separately from their family and relatives, friends and the community they lived.

scholarly journals Prevalence and Factors Influencing Elderly Abuse: A Descriptive Study of Jureli Village, Bakaiya

2021 ◽  
Vol 2 (2) ◽  
pp. 38-49
Author(s):  
Keshab Prasad Timalsina
Keyword(s):  
Health Status ◽  
Family Environment ◽  
Age Groups ◽  
Household Survey ◽  
The Elderly ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Elderly Abuse ◽  
Policies And Programs

The elderly abuse in a family is one of the most challenging problems in a society. The present study aims to assess the prevalence of elderly abuse in the family environment of JureliTole of Bakaiya Rural Municipality. The study also presents various risk factors that influence the prevalence of Elderly abuse. A descriptive cross-sectional study was carried out among 103 elders taken from household survey by using census method. The data were collected through a face-to-face structured interview schedule. The descriptive and regression analysis of the collected data showed that the prevalence of elderly abuse was 46.6% in the study population. This study measured significant association (p<0.05) of overall abuse against the elder with only two socio-demographic variables (literacy status and health status) among the variables (gender, age groups, living with or without spouse, literacy status, health status, dependency status, and income level). The results showed that the elders with/without spouse had the highest odds ratio to be abused (2.19 times) followed by gender (1.64 times), and health status (1.25 times). Although this study found lower prevalence than many previous studies, it is still significant and needs to be prevented. Based on the study, it can be said that living without a spouse, with poor health, and being female are the major predictive descriptors for elderly abuse.The policies and programs are needed for the prevention of elderly abuse which may require collective action from social, health and justice sectors. 

Sign in / Sign up

Export Citation Format

Share Document